Why our research matters:
We want our patients to have access to the best possible care—both today and in the future.
Our research has improved prosthetics worldwide. Having an active role in industry research means that our patients benefit from the latest advancements in technology, curated to their goals.
We’re particularly interested in:
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Experience
Understanding how our patients experience life with their prostheses outside the clinic helps us provide better treatments.
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Innovation
Developing new technology or prototypes which may become the prostheses or clinical tools of the future.
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Exploration
Testing new manufacturing methods or processes to improve what we can offer patients.
We conduct both independent clinical research and partnerships with other researchers, universities, and hospitals worldwide.
Upon project completion, we share our findings at conferences, publish papers & articles, and run in-services so that the knowledge we’ve gained can benefit as many patients as possible.
What We’re Researching Today:
This study helped participants by providing an online education program and peer support to improve and individuals walking capacity, confidence, knowledge and self-management skills following lower limb amputations.
This project is looking at the unique funding options available in BC and the impact they have on individuals with limb loss.
The field of orthotics and prosthetics (O&P) is undergoing a shift towards an evidence-based approach to clinical practice with an emphasis on outcome measure use for improvement of patient care 1-2. Outcome measures can be used to accurately document patient progress after an intervention, aid in making patient-centered decisions, and promote an evidence-based approach to clinical.
Research We’ve Completed:
Currently, there is no research available on the effect that pregnancy has on the fit, function, or use of transfemoral prostheses and there is little information available to women who are pregnant on what to expect in regards to their prosthesis.
The purpose of this research is to explore this topic and provide information both to prosthetists and to patients with transfemoral amputation on what they can expect when pregnant.
Phase one of this project has been completed! We found preliminary evidence that statically, sockets made for cushion liners are strong enough to be used in clinical practice as they pass the ISO standard.
Falls and fear of falling remain to be a common problem amongst people with lower-limb amputations, especially those with amputations at higher levels. While we can physically evaluate someone’s balance, it is also important to understand how psychology impacts someone’s ability to maintain their balance and mobility.
At Holy Family Hospital, a local rehab facility, approximately 22 to 36 older adults with amputations complete inpatient prosthesis training on a yearly basis. This training seeks to improve their functional independence and prepare them for reintegration into society. However, the question we often ask ourselves is, “What happens when they go home?”
We attended the Cybathlon competition in Zurich, Switzerland in October 2016 to showcase upper-limb prostheses with the Muscle Activity Sensor Strip (M.A.S.S.) The main goal of the Cybathlon was to provide a platform for the development of novel assistive technologies that are useful for daily life and it was incredible to see the wide range of devices featured. The competition received worldwide media coverage from major news broadcasters, just a few of them being BBC, CNN, CBC, CTV. Check out our blog post to learn more about this amazing experience.
We were part of a group that sought to see if we could measure a biomechanical characteristic of feet that patient’s preferred or increased activity level. This was the first randomized double-blind study in which prosthetic users have expressed a preference for a specific biomechanical characteristic of prosthetic feet:
When designing a prosthesis, clinicians work to optimize the pressure distribution within the socket so that the wearer has maximum comfort and function. Many patients have altered sensation in their limbs and have a hard time giving feedback on where they are experiencing pressure within the socket. This project looked at designing a prototype technology that could be used to map the pressure within a socket.
The purpose of this pilot study was to gain objective knowledge about how a prosthetist modifies prosthetic sockets and how these adjustments influence pressure distributions within the socket. Two participants took part in this pilot study. They were fit with 3D printed sockets and their socket comfort and pressure distribution was monitored as adjustments were made to the socket.
Bertille Dupont & Dr. John Madden @ UBC and Barber Prosthetics Clinic
A team at UBC has been working on a project that would allow users of prostheses to feel what touches their prosthetic hands when wearing their prostheses. They have partnered with us at Barber Prosthetics Clinic to refine this technology, incorporate it into prostheses and gain feedback from people who would benefit from it. If you are interested in learning more, please contact us!
Patient motion during PET scans can be a major detriment to image quality, leading to quantification errors and radiologists potentially missing malignant lesions. In order to study these problematic effects and potentially mitigate them through motion correction algorithms, anthropomorphic phantoms with accurate anatomy and realistic motion are needed.
Student Projects
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Modifying Prosthetic Foot Parameters
Julian Hoch, BCIT MAKE+ Group & Barber Prosthetics Clinic
When choosing which prosthetic foot to choose for a patient, there are several factors to consider. This randomized, double-blinded study looked at the effects of modifying prosthetic foot parameters on gait parameters. The effects were studied by collecting both biomechanics data in a motion capture laboratory at BCIT as well as by using routine clinical data collection tools (including the 2 Minute Walk Test and G-Walk) and by gathering the participants’ subjective perception of the foot.
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Effects of torsion adaptors on activities of daily living
P&O Student Brittany Pousett from BCIT
A pilot study conducted with two people with transtibial amputations found that the use of a torsion adaptor considerably decreased the axial moments by allowing increased axial rotation while completing a series of tasks of daily living.
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Clinical Use of a Digital Outcome Measures Tool
P&O Students Anna Kruithof and Jasmine Slomp from BCIT
Students in the P&O program at BCIT recognized the need to have a digital tool in order to support the use of outcome measures in practice and Barber Prosthetics could not agree more! They conducted a Canada-wide survey and a focus group to delve into this topic.
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Prosthetic sockets: Designing a system for thermal regulation
P&O Student Michael Prystai from BCIT
Studies have found that increased heat and sweat production in prosthetic sockets leads to decreased comfort for people with amputations. This study investigated the development of a user-friendly prosthetic integrated system that allowed the wearer to directly control the temperature at the skin-socket interface.
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Can We Make a Better Fabrication Tool?
Barber Prosthetics & Caleb Waldman, Sadul Bombuwala, Shawna Naderi, and Vedanth Meleveetil, Integrated Engineering Students from UBC
Vertical Fabrication Jigs (VFJs) are tools that are used in the fabrication of prostheses. One of the challenges we face on the technical side of our clinic is the limitation in fabrication due to the number jigs we have room for. We partnered with UBC Integrated Engineering Students to determine if we could develop a solution to this bottleneck in our fabrication process.
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How Do Feet Work on Slopes?
P&O Student Jenna Barnert from BCIT
This study compared the ability of a split-toe prosthetic foot to a solid-keel to adapt to a lateral incline and identified the resulting effects on the body. Between these two feet, there were no difference in level ground walking, however on slopes where the prosthesis was uphill, the results suggested the split-keel conformed better and was preferred by participants.
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How do 3-D Print Settings Impact Socket Strength?
P&O Students Leah Campbell and Adrial Lau from BCIT as well as Ernie Janzen & Silvia Raschke from BCIT MAKE+
3D printing is relatively new to prosthetics and there is little research showing the strength of 3D printed sockets. Manipulating the settings on a 3D printer can have a significant impact on the resulting 3D printed socket. These impacts can include the time it takes to print a socket, the strength of the socket, the weight of the socket, and many more. This project investigated how changing the infill percentage (the percentage of material between the internal and external socket walls) affected the strength of 3D printed transtibial sockets. We found that the infill percentage did not affect the structural strength of the 3D printed sockets we made.
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What Amputation Resources do Friends & Family Need?
P&O Students Nicholas Antoniuk and Kimberly Lieuwen from BCIT
The primary purpose of this study was to explore perceptions of informal caregivers of persons with lower limb amputation to identify which resources were helpful in managing their own self-care. A secondary purpose was to identify resources that would help enhance the quality of care caregivers provide to persons with amputation.